DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC

Active Organization

PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC is a Dentist organization located in ROSEVILLE, Michigan. NPI 1629440581 is currently active in the NPPES registry. Verify at CMS.

Dentist · ROSEVILLE, MI

Registration Details

NPI Number
1629440581
Provider Type
Organization
NPI Issued
Oct 30, 2015 (10.786478793027 yrs)
Last Updated
Oct 30, 2015
License
2901011201 (MI)

Practice Information

Address
25631 GRATIOT AVE
ROSEVILLE, MI, 480664434
Browse MI providers · Browse ZIP 48066
Phone
5867753312
Fax
5867754780
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.